Billable / Specific Code
ICD-10-CM E10.359 is the diagnosis code for Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema. This code falls under the section "Diabetes mellitus" within Chapter 4 — Endocrine, nutritional and metabolic diseases (E00-E89). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where E10.359 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, E10.359 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
E10.359 is the ICD-10-CM diagnosis code for "Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of E10.359 is E10.35 ("Type 1 diabetes mellitus with proliferative diabetic retinopathy"). E10.359 provides a more specific classification within this category.
E10.359 is located in Section E08-E13 — "Diabetes mellitus" within Chapter 4 of the ICD-10-CM Tabular List.
Use E10.359 when the patients documented diagnosis matches "Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema is E10.359.
Yes, E10.359 can be used as a primary diagnosis code since it is billable and specific.
E10.359 is in Chapter 4 of the ICD-10-CM Tabular List.
Yes, E10.359 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.